Individual provider Active NPI

Fernando Rodriguez, MD

  • Diagnostic Radiology Physician
  • Murray, UT
National Provider Identifier
1508905514
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
7956662-1205 Issued in UT
Practice address
5295 S Commerce Dr Ste 550
Murray, UT 84107-4736
Phone
(801) 313-4110
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M-11297 ID
Diagnostic Radiology Physician 2085R0202X 2005-0267 NM
Diagnostic Radiology Physician 2085R0202X 7956662-1205 UT Primary

Addresses

Primary practice location

5295 S Commerce Dr Ste 550
Murray, UT 84107-4736

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Other practice location 1

5444 S. Green St.
Murray, UT 84123-5632
Phone (801) 262-8120

Other identifiers 1

IdentifierTypeStateIssuer
1508905514MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110725000000 UT Practitioner - Diagnostic Radiology 7911044771 Reassigns benefits to 3 organizations
I20260225004501 WA Practitioner - Diagnostic Radiology 7911044771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000

8 TH Ave and C St
LDS Hosp Eeg Phys GRP
Salt Lake City, UT 84143
Phone (801) 507-7000

Hospital & facility affiliations

  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • St. George Regional Hospital Hospital, St George, UT, CCN 460021
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
  • Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015
  • Intermountain Health Alta View Hospital Hospital, Sandy, UT, CCN 460044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-11297IDMDDiagnostic Radiology Physician
2005-0267NMMDDiagnostic Radiology Physician
7956662-1205UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Jan 1, 2017 Accepting new patients
Mountain Medical Physician Specialists PC Body Imaging CurrentSince Jun 27, 2011 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 12, 2024 Accepting new patients
Tellica Imaging, LLC Diagnostic Radiology CurrentSince Nov 16, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Tellica Imaging, LLC CurrentSince Nov 16, 2023 Accepting new patients
Tellica Imaging, LLC CurrentSince Apr 13, 2023 Accepting new patients
Tellica Imaging - Washington LLC Diagnostic Radiology CurrentSince Jan 12, 2026 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Tellica Imaging, LLC CurrentSince Feb 21, 2022 Accepting new patients
Tellica Imaging, LLC CurrentSince Feb 21, 2022 Accepting new patients
Tellica Imaging - Washington LLC Diagnostic Radiology PastSince Oct 5, 2025 Accepting new patients
MMPS Murray Past Accepting new patients
Central Utah Radiology, PC Diagnostic Radiology Past Accepting new patients

Locations

1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444

1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368

5295 S Commerce Dr
Ste 550
Salt Lake City, UT 84107
Phone (801) 313-4110

5323 S Woodrow St
Salt Lake City, UT 84107
Phone (801) 261-8346

5217 S State St
Ste 200
Salt Lake City, UT 84107
Phone (208) 417-5100

5217 S State St
Salt Lake City, UT 84107
Phone (801) 313-4110

5444 S Green St
Salt Lake City, UT 84123
Phone (801) 262-2647

5334 S Woodrow St
#100
Salt Lake City, UT 84107
Phone (801) 284-1702

36 S Street St
Ste 2200
Salt Lake Cty, UT 84111
Phone (385) 622-0669

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

421 E Main St
Auburn, WA 98002
Phone (253) 204-2530

2941 S 38th St
Ste E
Tacoma, WA 98409
Phone (253) 534-8689

1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1508905514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 S COMMERCE DR STE 550",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074736",
            "telephone_number": "801-313-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5444 S. Green St.",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841235632",
            "country_code": "US",
            "telephone_number": "801-262-8120",
            "fax_number": "801-262-3897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-11297",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "2005-0267",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "7956662-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508905514",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.